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Partner support in a cohort of African American families and its influence on pregnancy outcomes and prenatal health behaviors.

Straughen JK, Caldwell CH, Young AA, Misra DP - BMC Pregnancy Childbirth (2013)

Bottom Line: There were no statistically significant differences in pregnancy outcomes or health behaviors by relationship type or when partner support was examined as a continuous or categorical variable.Modeled as a dichotomous variable, partner support was not associated with the risk of preterm birth (PR = 0.81, 95% CI = 0.56, 1.56), low birth weight (PR = 0.77, 96% CI = 0.48, 1.26), or health behaviors.Paternal involvement was not associated with pregnancy outcomes or maternal health behaviors.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Family Medicine and Public Health Sciences, Division of Population Health Sciences, School of Medicine, Wayne State University, Detroit, MI, USA. dmisra@med.wayne.edu.

ABSTRACT

Background: We examined how two indicators of partner involvement, relationship type and paternal support, influenced the risk of pregnancy outcomes (preterm birth, low birth weight) and health behaviors (prenatal care, drug use, and smoking) among African American women.

Methods: Interview and medical record data were obtained from a study of 713 adult African American women delivering singletons between March 2001 and July 2004. Women were enrolled prenatally if they received care at one of three Johns Hopkins Medical Institution (JHMI) prenatal clinics or post-partum if they delivered at JHMI with late, no or intermittent prenatal care. Relationship type was classified as married, unmarried/cohabitating, or unmarried/non-cohabitating. Partner support was assessed using an 8-item scale and was dichotomized at the median. Differences in partner support by pregnancy outcome and health behaviors were assessed using linear regression. To assess measures of partner support as predictors of adverse pregnancy outcomes and health behaviors, Poisson regression was used to generate crude and adjusted prevalence ratios (PR) and 95% confidence intervals (CI).

Results: There were no statistically significant differences in pregnancy outcomes or health behaviors by relationship type or when partner support was examined as a continuous or categorical variable. Modeled as a dichotomous variable, partner support was not associated with the risk of preterm birth (PR = 0.81, 95% CI = 0.56, 1.56), low birth weight (PR = 0.77, 96% CI = 0.48, 1.26), or health behaviors.

Conclusions: Paternal involvement was not associated with pregnancy outcomes or maternal health behaviors. Attention to measurement issues and other factors relevant for African American women are discussed.

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Related in: MedlinePlus

Mean partner support scale score overall and by relationship type (p < 0.0001).
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Figure 1: Mean partner support scale score overall and by relationship type (p < 0.0001).

Mentions: Mean partner support was evaluated as a continuous outcome using linear regression. Mean partner support score by relationship type is presented in Figure 1. There were no differences in scale score total by preterm birth (p = 0.37), low birth weight (p = 0.56), prenatal care use (p = 0.46), drug use (p = 0.10), or prenatal smoking (p = 0.19). We also compared birth outcomes and health behaviors using a dichotomous variable defined as support greater or equal to or less than the median support score (Table 4). No associations between preterm birth and perceived partner support were found even after controlling for potential confounders. Women who perceived their partners as supportive overall did not have a decreased risk of preterm birth (PR = 0.80, 95% CI = 0.56, 1.56). Similar findings were reported for the risk of low birth weight (PR = 0.77, 96% CI = 0.48, 1.26). When maternal health behaviors were examined in relation to perceived partner support, no significant associations were found. Women who reported more support from partners were no more likely to obtain adequate prenatal care than their counterparts with unsupportive partners (PR = 1.20, 95% CI = 0.94, 1.52). Similar results were obtained for prenatal smoking (PR = 0.91, 95% CI = 0.66, 1.26) and drug use (PR = 0.92, 95% CI = 0.61, 1.38). Timing of enrollment in the study (prenatal or postnatal) was examined as a potential confounder. Timing of enrollment differed by partner support status, as might have been expected given that women enrolling postpartum had late or no care by design, but controlling for timing of enrollment did not impact our effect estimates.


Partner support in a cohort of African American families and its influence on pregnancy outcomes and prenatal health behaviors.

Straughen JK, Caldwell CH, Young AA, Misra DP - BMC Pregnancy Childbirth (2013)

Mean partner support scale score overall and by relationship type (p < 0.0001).
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3924355&req=5

Figure 1: Mean partner support scale score overall and by relationship type (p < 0.0001).
Mentions: Mean partner support was evaluated as a continuous outcome using linear regression. Mean partner support score by relationship type is presented in Figure 1. There were no differences in scale score total by preterm birth (p = 0.37), low birth weight (p = 0.56), prenatal care use (p = 0.46), drug use (p = 0.10), or prenatal smoking (p = 0.19). We also compared birth outcomes and health behaviors using a dichotomous variable defined as support greater or equal to or less than the median support score (Table 4). No associations between preterm birth and perceived partner support were found even after controlling for potential confounders. Women who perceived their partners as supportive overall did not have a decreased risk of preterm birth (PR = 0.80, 95% CI = 0.56, 1.56). Similar findings were reported for the risk of low birth weight (PR = 0.77, 96% CI = 0.48, 1.26). When maternal health behaviors were examined in relation to perceived partner support, no significant associations were found. Women who reported more support from partners were no more likely to obtain adequate prenatal care than their counterparts with unsupportive partners (PR = 1.20, 95% CI = 0.94, 1.52). Similar results were obtained for prenatal smoking (PR = 0.91, 95% CI = 0.66, 1.26) and drug use (PR = 0.92, 95% CI = 0.61, 1.38). Timing of enrollment in the study (prenatal or postnatal) was examined as a potential confounder. Timing of enrollment differed by partner support status, as might have been expected given that women enrolling postpartum had late or no care by design, but controlling for timing of enrollment did not impact our effect estimates.

Bottom Line: There were no statistically significant differences in pregnancy outcomes or health behaviors by relationship type or when partner support was examined as a continuous or categorical variable.Modeled as a dichotomous variable, partner support was not associated with the risk of preterm birth (PR = 0.81, 95% CI = 0.56, 1.56), low birth weight (PR = 0.77, 96% CI = 0.48, 1.26), or health behaviors.Paternal involvement was not associated with pregnancy outcomes or maternal health behaviors.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Family Medicine and Public Health Sciences, Division of Population Health Sciences, School of Medicine, Wayne State University, Detroit, MI, USA. dmisra@med.wayne.edu.

ABSTRACT

Background: We examined how two indicators of partner involvement, relationship type and paternal support, influenced the risk of pregnancy outcomes (preterm birth, low birth weight) and health behaviors (prenatal care, drug use, and smoking) among African American women.

Methods: Interview and medical record data were obtained from a study of 713 adult African American women delivering singletons between March 2001 and July 2004. Women were enrolled prenatally if they received care at one of three Johns Hopkins Medical Institution (JHMI) prenatal clinics or post-partum if they delivered at JHMI with late, no or intermittent prenatal care. Relationship type was classified as married, unmarried/cohabitating, or unmarried/non-cohabitating. Partner support was assessed using an 8-item scale and was dichotomized at the median. Differences in partner support by pregnancy outcome and health behaviors were assessed using linear regression. To assess measures of partner support as predictors of adverse pregnancy outcomes and health behaviors, Poisson regression was used to generate crude and adjusted prevalence ratios (PR) and 95% confidence intervals (CI).

Results: There were no statistically significant differences in pregnancy outcomes or health behaviors by relationship type or when partner support was examined as a continuous or categorical variable. Modeled as a dichotomous variable, partner support was not associated with the risk of preterm birth (PR = 0.81, 95% CI = 0.56, 1.56), low birth weight (PR = 0.77, 96% CI = 0.48, 1.26), or health behaviors.

Conclusions: Paternal involvement was not associated with pregnancy outcomes or maternal health behaviors. Attention to measurement issues and other factors relevant for African American women are discussed.

Show MeSH
Related in: MedlinePlus